Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Skip The Endoscopy!


cautiousC

Recommended Posts

cautiousC Newbie

I just had to get on this forum in the hopes i can prevent one other person from getting an endoscopy. I know the doctors have their reasons, but before you blindly go to get this test, please read my experience:

I had some severe stomach pain and bloating which sent me to my doctor. She gave me the blood test for Celiac Disease and my blood numbers were off the charts. In hindsight, I'm sure I had celiac my entire life. I was sent to a not-so-knowledgeable GI specialist, who insisted a get an endoscopy to confirm the celiac diagnosis. I wish I asked why I needed an invasive test when the blood test was SO positive!! Instead, I blindly followed his advice and went to get the endoscopy. I have since asked, and he tells me it was to differentiate a gluten allergy from actual celiac disease. But if the treatment is the same, why did i need an additional test?

Due to the endoscopy, I have permanent and severe acid reflux. It started immediately after I woke up from the procedure. I modified my diet to exclude coffee, caffiene, tomatoes, spicy foods, alcohol, chocolate and mint in addition to all gluten containing foods. Still, I need medication every day. My celiac symptoms went away after only months on the gluten-free diet, but the stinging pain of acid reflux haunts me now 4 years later. I know my acid reflx is due to the endoscopy because i NEVER had acid reflux (not even once), before the endoscopy.

Now, I'm pregnant, and the only acid reflux medicine that works for me is a Class C medication (which means it is not proven safe for pregnancy). While my doctors tell me my need outweighs the risk, I'm again regretting blindly following that doctors advice. My family members and children will all get the blood test for celiac disease, but I won't let one of them get an endoscopy.


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



ravenwoodglass Mentor
I just had to get on this forum in the hopes i can prevent one other person from getting an endoscopy. I know the doctors have their reasons, but before you blindly go to get this test, please read my experience:

I had some severe stomach pain and bloating which sent me to my doctor. She gave me the blood test for Celiac Disease and my blood numbers were off the charts. In hindsight, I'm sure I had celiac my entire life. I was sent to a not-so-knowledgeable GI specialist, who insisted a get an endoscopy to confirm the celiac diagnosis. I wish I asked why I needed an invasive test when the blood test was SO positive!! Instead, I blindly followed his advice and went to get the endoscopy. I have since asked, and he tells me it was to differentiate a gluten allergy from actual celiac disease. But if the treatment is the same, why did i need an additional test?

Due to the endoscopy, I have permanent and severe acid reflux. It started immediately after I woke up from the procedure. I modified my diet to exclude coffee, caffiene, tomatoes, spicy foods, alcohol, chocolate and mint in addition to all gluten containing foods. Still, I need medication every day. My celiac symptoms went away after only months on the gluten-free diet, but the stinging pain of acid reflux haunts me now 4 years later. I know my acid reflx is due to the endoscopy because i NEVER had acid reflux (not even once), before the endoscopy.

Now, I'm pregnant, and the only acid reflux medicine that works for me is a Class C medication (which means it is not proven safe for pregnancy). While my doctors tell me my need outweighs the risk, I'm again regretting blindly following that doctors advice. My family members and children will all get the blood test for celiac disease, but I won't let one of them get an endoscopy.

Have you gotten a second opinion on the 'reflux' issue from a different doctor? Did the first doctor do any procedures while he was in there that you know of? Did you get copies of all your records from the GI?

I ask because I wonder if something happened during the procedure that you are unaware of, this should not have happened and it leads me to wonder if there was some sort of damage to the entrance of the stomach from the esophogus (sp- sorry long time since med terminology class). Possibly the spincter was damaged which is now allowing back flow?

If this is the case and it is a functional problem someone might be able to help with this. Not sure about that but it may be worth looking into.

I know this is tough to deal with while pregnant, it sounds like you are doing all you can food wise and not getting much relief. Make sure you have the head of your bed elevated and that you stay upright for as long as you can after you eat, both will help a little bit.

I know this may sound weird but something that has always helped me much more than script meds is pepto bismal. For me it helps to relieve the pain quicker and doesn't have any effects on actual acid production, it can turn your stool black but this is not a cause for alarm.

I hope you can get some relief soon, congrats on the little one and thanks for posting. Problems can and do occur with what many consider simple procedures and I agree with you completely that if you have a positive blood test that really should be enough unless you have been on the diet strictly for at least 6 months and are getting no relief.

helen albanese Newbie
I just had to get on this forum in the hopes i can prevent one other person from getting an endoscopy. I know the doctors have their reasons, but before you blindly go to get this test, please read my experience:

I had some severe stomach pain and bloating which sent me to my doctor. She gave me the blood test for Celiac Disease and my blood numbers were off the charts. In hindsight, I'm sure I had celiac my entire life. I was sent to a not-so-knowledgeable GI specialist, who insisted a get an endoscopy to confirm the celiac diagnosis. I wish I asked why I needed an invasive test when the blood test was SO positive!! Instead, I blindly followed his advice and went to get the endoscopy. I have since asked, and he tells me it was to differentiate a gluten allergy from actual celiac disease. But if the treatment is the same, why did i need an additional test?

Due to the endoscopy, I have permanent and severe acid reflux. It started immediately after I woke up from the procedure. I modified my diet to exclude coffee, caffiene, tomatoes, spicy foods, alcohol, chocolate and mint in addition to all gluten containing foods. Still, I need medication every day. My celiac symptoms went away after only months on the gluten-free diet, but the stinging pain of acid reflux haunts me now 4 years later. I know my acid reflx is due to the endoscopy because i NEVER had acid reflux (not even once), before the endoscopy.

Now, I'm pregnant, and the only acid reflux medicine that works for me is a Class C medication (which means it is not proven safe for pregnancy). While my doctors tell me my need outweighs the risk, I'm again regretting blindly following that doctors advice. My family members and children will all get the blood test for celiac disease, but I won't let one of them get an endoscopy.

jayhawkmom Enthusiast

I honestly am so very sorry you are dealing with this.

However, I don't think it's appropriate to advise everyone to avoid this procedure. It *may* be necessary to rule out other issues. In my daughter's case...the endoscopy may have saved her life. She had issues that went beyond Celiac, and we never would have known had we not gone through this.

I think weighing pros and cons, and considering the individual is more important than an all out "don't ever do it" message.

I had an endoscopy and also found great relief with their findings. And, I've been much healthier since.

I did not put my older son through endoscopy because the blood test results were enough to convince me he needs to be gluten-free. If he had continued to have problems though... as my daughter did, I'd be more than willing to have the endoscopy to put further issues to rest.

Again... I am sorry that you've had the misfortune to be one of the few who do not fair well after endoscopy. Even more sorry that you are dealing with reflux during pregnancy. I have 3 children...and have always had reflux, and it got 10x worse with each pregnancy. So, I certainly can empathize. I'm glad you shared your story... it just reminds us that we need to use our own better judgment COMBINED with the knowledge that our doctors are armed with.

tummyache Newbie

Yeh, I think it is necessary to have the endoscopy so they can see what else is going on. I'm sorry your endoscopy experience was so bad. I think a second opinion might be godo to get.

Kassie Apprentice

I am also very sorry that you have to deal with this. I think that it is important that some people get endoscopies because some people will have negative blood tests but biopsies will show different and thats how they get diagnosed.

I also suffer from reflux, so bad that i got an endoscopy for that. If we never had done that we would have never found out that i had esophagital thrush (however you spell it). I was able to take care of it. If i had never had the endo., the thrush could have spread making eating very painful.

But i guess getting an endo. depends on who you are and what is needed

GlutenWrangler Contributor

I'm also sorry about what you're going through right now. It is a very unfortunate thing to have happened, but it is also very very rare. An endoscopy is generally a harmless procedure, if performed by a doctor who knows what they are doing. Maybe your doctor made a mistake?

Endoscopies are good for many different things. They can help to diagnose celiac disease of course, but also H. Pylori infections, gastritis, stomach cancer, and duodenal cancer. In the latter cases, it could mean the difference between life and death.

-Brian


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



Archived

This topic is now archived and is closed to further replies.


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      131,899
    • Most Online (within 30 mins)
      7,748

    dcarter1682
    Newest Member
    dcarter1682
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.4k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Who's Online (See full list)

  • Upcoming Events

  • Posts

    • trents
      Welcome to the forum, @Judy M! Yes, he definitely needs to continue eating gluten until the day of the endoscopy. Not sure why the GI doc advised otherwise but it was a bum steer.  Celiac disease has a genetic component but also an "epigenetic" component. Let me explain. There are two main genes that have been identified as providing the "potential" to develop "active" celiac disease. We know them as HLA-DQ 2.5 (aka, HLA-DQ 2) and HLA-DQ8. Without one or both of these genes it is highly unlikely that a person will develop celiac disease at some point in their life. About 40% of the general population carry one or both of these two genes but only about 1% of the population develops active celiac disease. Thus, possessing the genetic potential for celiac disease is far less than deterministic. Most who have the potential never develop the disease. In order for the potential to develop celiac disease to turn into active celiac disease, some triggering stress event or events must "turn on" the latent genes. This triggering stress event can be a viral infection, some other medical event, or even prolonged psychological/emotional trauma. This part of the equation is difficult to quantify but this is the epigenetic dimension of the disease. Epigenetics has to do with the influence that environmental factors and things not coded into the DNA itself have to do in "turning on" susceptible genes. And this is why celiac disease can develop at any stage of life. Celiac disease is an autoimmune condition (not a food allergy) that causes inflammation in the lining of the small bowel. The ingestion of gluten causes the body to attack the cells of this lining which, over time, damages and destroys them, impairing the body's ability to absorb nutrients since this is the part of the intestinal track responsible for nutrient absorption and also causing numerous other food sensitivities such as dairy/lactose intolerance. There is another gluten-related disorder known as NCGS (Non Celiac Gluten Sensitivity or just, "gluten sensitivity") that is not autoimmune in nature and which does not damage the small bowel lining. However, NCGS shares many of the same symptoms with celiac disease such as gas, bloating, and diarrhea. It is also much more common than celiac disease. There is no test for NCGS so, because they share common symptoms, celiac disease must first be ruled out through formal testing for celiac disease. This is where your husband is right now. It should also be said that some experts believe NCGS can transition into celiac disease. I hope this helps.
    • Judy M
      My husband has had lactose intolerance for his entire life (he's 68 yo).  So, he's used to gastro issues. But for the past year he's been experiencing bouts of diarrhea that last for hours.  He finally went to his gastroenterologist ... several blood tests ruled out other maladies, but his celiac results are suspect.  He is scheduled for an endoscopy and colonoscopy in 2 weeks.  He was told to eat "gluten free" until the tests!!!  I, and he know nothing about this "diet" much less how to navigate his in daily life!! The more I read, the more my head is spinning.  So I guess I have 2 questions.  First, I read on this website that prior to testing, eat gluten so as not to compromise the testing!  Is that true? His primary care doctor told him to eat gluten free prior to testing!  I'm so confused.  Second, I read that celiac disease is genetic or caused by other ways such as surgery.  No family history but Gall bladder removal 7 years ago, maybe?  But how in God's name does something like this crop up and now is so awful he can't go a day without worrying.  He still works in Manhattan and considers himself lucky if he gets there without incident!  Advice from those who know would be appreciated!!!!!!!!!!!!
    • Scott Adams
      You've done an excellent job of meticulously tracking the rash's unpredictable behavior, from its symmetrical spread and stubborn scabbing to the potential triggers you've identified, like the asthma medication and dietary changes. It's particularly telling that the rash seems to flare with wheat consumption, even though your initial blood test was negative—as you've noted, being off wheat before a test can sometimes lead to a false negative, and your description of the other symptoms—joint pain, brain fog, stomach issues—is very compelling. The symmetry of the rash is a crucial detail that often points toward an internal cause, such as an autoimmune response or a systemic reaction, rather than just an external irritant like a plant or mites. I hope your doctor tomorrow takes the time to listen carefully to all of this evidence you've gathered and works with you to find some real answers and effective relief. Don't be discouraged if the rash fluctuates; your detailed history is the most valuable tool you have for getting an accurate diagnosis.
    • Scott Adams
      In this case the beer is excellent, but for those who are super sensitive it is likely better to go the full gluten-free beer route. Lakefront Brewery (another sponsor!) has good gluten-free beer made without any gluten ingredients.
    • trents
      Welcome to the forum, @catsrlife! Celiac disease can be diagnosed without committing to a full-blown "gluten challenge" if you get a skin biopsy done during an active outbreak of dermatitis herpetiformis, assuming that is what is causing the rash. There is no other known cause for dermatitis herpetiformis so it is definitive for celiac disease. You would need to find a dermatologist who is familiar with doing the biopsy correctly, however. The samples need to be taken next to the pustules, not on them . . . a mistake many dermatologists make when biopsying for dermatitis herpetiformis. 
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.